Cholecystectomy

Cholecystectomy

Objective

In cases of:

•   Symptomatic gallstones

•   Traumatic or inflammatory perforation of gallbladder

•   To remove gallbladder.

Position

Supine.

Anesthesia

General.

Procedure

1.  Subcostal (right) or midline.

2.  Identify gallbladder, divide adhesions.

3.  Apply forceps to fundus and to infundibulum of gallbladder and draw to right and forward.

4.  Divide cystic artery between ligatures.

5.  Divide cystic duct between ligatures after identifying Junction with CBD.

6.  Remove gallbladder; cut open to rule out malignancy and send for histopathology.

7.  Close abdomen with suction drain in subhepatic pouch.

Instruments

•   General set, 1

•   Biliary tract set, 1.

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PROCEDURE CHOLECYSTECTOMY

CHOLECYSTECTOMY

When is this operations required?

Cholecystectomy is required in cases of

· Symptomatic gallstones

· Traumatic or inflammatory perforation of gall bladder so as to remove gall bladder.

Position of the patient

Supine.

Anaesthesia

General.

Surgical steps

· A subcostal (right) or midline incison is given.

· The gall bladder is identified and the adhesions are divided.

· Forceps is applied to fundus and to infundibulum of gall bladder and these structures are drawn to right and forward.

· The cystic artery is divided between ligatures.

· Cystic duct is divided and between ligatures after identifying junction with common bile ducts (CBD).

· The gall bladder is divided and cut open to rule out malignancy and sent for histopathology studies.

· The abdomen is closed with suction drain is subhepatic pouch.

Instruments required

· Laparotomy set

· Gallstone probe (DesJardin)

· Gallstone forceps (DesJardin)

· Ochsner’s gall bladder trocar

· CBD dilators, Bake’s

· Kerr ‘T’ tube.

Any questions be sent to drmmkapur@gmail.com  

All older posts are stored in archives for access and review.

Visitors that follow may post contributions to the site.

To create consumer/provider engagement vist www.surgseminar.blogspot.com

www.drmmkapur.blogspot.com